Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.83 / $3,682.00 / $12,281.00	Facility		$780.83	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.52 / $751.17 / $1,248.02	Professional		$653.52	$751.17	$1,248.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.12 / $910.11 / $1,240.18	Professional		$714.12	$910.11	$1,240.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $701.14 / $716.04	Facility		$80.00	$701.14	$716.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.01 / $883.01 / $883.01	Facility		$883.01	$883.01	$883.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.28 / $1,002.24 / $1,443.03	Professional		$702.28	$1,002.24	$1,443.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,146.88	Facility		$55.00	$55.00	$7,146.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,736.51 / $6,736.51 / $6,736.51	Professional		$6,736.51	$6,736.51	$6,736.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.02 / $861.17 / $1,406.88	Facility		$696.02	$861.17	$1,406.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $959.08 / $1,150.89 / $1,427.10	Professional		$959.08	$1,150.89	$1,427.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $848.90 / $848.90 / $848.90	Professional		$848.90	$848.90	$848.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.44 / $862.92 / $1,500.32	Facility		$697.44	$862.92	$1,500.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $717.66 / $1,041.08 / $1,535.19	Professional		$717.66	$1,041.08	$1,535.19
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.51 / $789.79 / $1,236.46	Professional		$560.51	$789.79	$1,236.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $654.83 / $744.41 / $1,031.91	Professional		$654.83	$744.41	$1,031.91